MELISSA S FORMELLA
Nursing at El Camino Real, Lady Lake, FL

License number
Florida 9263197
Issued Date
Jun 12, 2007
Effective Date
Mar 10, 2015
Expiration Date
Apr 30, 2019
Category
Health Care
Type
Registered Nurse
Address
Address
1451 El Camino Real, Lady Lake, FL 32159
Phone
(352) 620-5204
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Melissa Formella, age 49
3698 SE 130Th Pl, Belleview, FL 34420
(352) 347-8040

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